| Doctor Name: | GLORIA CHOMICKI |
| NPI Number: | 1073977450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | SP015408 |
| Business Practice Address: | 1654 Woodland Dr Williamstown, NJ - 080943384 |
| Business Phone Number: | 8568125364 |
| Business Fax Number: | |
| Mailing Address: | 1654 Woodland Dr, WILLIAMSTOWN |
| State: | NJ |
| Postal Code: | 080943384 |
| Phone Number: | 8568125364 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | SP015408 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |